HESI FUNDAMENTALS NEW EXAM 2026 NEWEST
UPDATED ACTUAL EXAM WITH COMPLETE 100
QUESTIONS % CORRECT DETAILED ANSWERS
WITH RATIONALES PASS A+ [UPDATED VERSION]
NEW BRAND! FULL REVISED!
1. A nurse is caring for a patient who is at risk for
falls. Which intervention is the highest priority?
A. Place the call light within reach
B. Apply non-skid socks
C. Keep the bed in the lowest position
D. Instruct the patient to call for help
Correct Answer: C
Rationale: Keeping the bed in the lowest position
reduces the risk of injury if the patient attempts to get
out of bed and is the most immediate safety
intervention.
2. Which action by the nurse best demonstrates proper
hand hygiene?
,A. Washing hands for 10 seconds
B. Using gloves instead of handwashing
C. Washing hands after removing gloves
D. Using hand sanitizer after visible soil
Correct Answer: C
Rationale: Hands must always be washed after
removing gloves to prevent transmission of
microorganisms.
3. A patient refuses a prescribed medication. What is
the nurse’s best response?
A. Document the refusal
B. Explain the consequences
C. Notify the provider
D. Respect the patient’s decision
Correct Answer: D
Rationale: Patients have the right to refuse treatment,
and respecting autonomy is a fundamental ethical
principle.
4. Which vital sign is most important to assess first in
a patient with shortness of breath?
,A. Blood pressure
B. Pulse
C. Respiratory rate
D. Temperature
Correct Answer: C
Rationale: Respiratory rate directly reflects
oxygenation status and is the priority in breathing
concerns.
5. The nurse is transferring a patient from bed to
chair. Which action prevents injury?
A. Bend at the waist
B. Keep feet close together
C. Use a wide base of support
D. Pull the patient by the arms
Correct Answer: C
Rationale: A wide base of support improves balance
and reduces strain during transfers.
6. Which position is best for a patient experiencing
dyspnea?
A. Supine
B. Prone
, C. High Fowler’s
D. Trendelenburg
Correct Answer: C
Rationale: High Fowler’s position maximizes lung
expansion and eases breathing.
7. A nurse identifies a medication error after
administration. What is the first action?
A. Complete an incident report
B. Notify the nurse manager
C. Assess the patient
D. Document in the chart
Correct Answer: C
Rationale: Patient safety is the priority, so the nurse
must assess for adverse effects first.
8. Which finding indicates proper oxygen therapy via
nasal cannula?
A. Dry nasal mucosa
B. Oxygen flow at 8 L/min
C. Pink, moist mucous membranes
D. Mouth breathing
UPDATED ACTUAL EXAM WITH COMPLETE 100
QUESTIONS % CORRECT DETAILED ANSWERS
WITH RATIONALES PASS A+ [UPDATED VERSION]
NEW BRAND! FULL REVISED!
1. A nurse is caring for a patient who is at risk for
falls. Which intervention is the highest priority?
A. Place the call light within reach
B. Apply non-skid socks
C. Keep the bed in the lowest position
D. Instruct the patient to call for help
Correct Answer: C
Rationale: Keeping the bed in the lowest position
reduces the risk of injury if the patient attempts to get
out of bed and is the most immediate safety
intervention.
2. Which action by the nurse best demonstrates proper
hand hygiene?
,A. Washing hands for 10 seconds
B. Using gloves instead of handwashing
C. Washing hands after removing gloves
D. Using hand sanitizer after visible soil
Correct Answer: C
Rationale: Hands must always be washed after
removing gloves to prevent transmission of
microorganisms.
3. A patient refuses a prescribed medication. What is
the nurse’s best response?
A. Document the refusal
B. Explain the consequences
C. Notify the provider
D. Respect the patient’s decision
Correct Answer: D
Rationale: Patients have the right to refuse treatment,
and respecting autonomy is a fundamental ethical
principle.
4. Which vital sign is most important to assess first in
a patient with shortness of breath?
,A. Blood pressure
B. Pulse
C. Respiratory rate
D. Temperature
Correct Answer: C
Rationale: Respiratory rate directly reflects
oxygenation status and is the priority in breathing
concerns.
5. The nurse is transferring a patient from bed to
chair. Which action prevents injury?
A. Bend at the waist
B. Keep feet close together
C. Use a wide base of support
D. Pull the patient by the arms
Correct Answer: C
Rationale: A wide base of support improves balance
and reduces strain during transfers.
6. Which position is best for a patient experiencing
dyspnea?
A. Supine
B. Prone
, C. High Fowler’s
D. Trendelenburg
Correct Answer: C
Rationale: High Fowler’s position maximizes lung
expansion and eases breathing.
7. A nurse identifies a medication error after
administration. What is the first action?
A. Complete an incident report
B. Notify the nurse manager
C. Assess the patient
D. Document in the chart
Correct Answer: C
Rationale: Patient safety is the priority, so the nurse
must assess for adverse effects first.
8. Which finding indicates proper oxygen therapy via
nasal cannula?
A. Dry nasal mucosa
B. Oxygen flow at 8 L/min
C. Pink, moist mucous membranes
D. Mouth breathing
